Estimating the Number of Vasectomies Performed Annually in the United States: Data From the National Survey of Family Growth
Estimating the Number of Vasectomies Performed Annually in the United States: Data From the National Survey of Family Growth
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DOI：
10.1016/j.juro.2010.06.117
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发表时间：
2010-11-01
影响因子：
6.6
通讯作者：
Lipshultz, Larry I.
中科院分区：
文献类型：
--
作者：
Eisenberg, Michael L.;Lipshultz, Larry I.
目的：虽然医院出院和门诊手术登记提供了对女性绝育手术的准确估计，但目前缺乏对男性绝育率的估计，因为这些手术是在许多情况下进行的。以人口为基础的数据用于估计每年的绝育人数。材料和方法：我们分析了2002年全国家庭成长调查中4928名男性和7643名女性的数据。我们确定了有手术绝育史的男性进行输精管切除术的年份和女性进行输卵管结扎的年份。在考虑了国家家庭增长调查的复杂调查设计后，我们计算了美国接受手术绝育的估计人数。结果：共有141名男性报告了输精管切除术，占全国家庭增长调查人口的6%，而1173名女性（16%）报告了输卵管结扎。根据全国家庭增长调查数据，从1998年到2002年，每年有17.5万到35.4万例输精管切除术。在同一时期，全国家庭增长调查估计，美国每年有54.6万至78.9万例输卵管结扎手术。这与同期门诊手术和出院数据计算出的59.6万至68.7万例输卵管结扎病例非常接近。结论：从全国家庭增长调查中估计的每年输卵管结扎数量与目前使用出院和门诊手术登记的文献一致，表明估计手术绝育数量的方法是准确的。这表明全国家庭增长调查可以用来估计美国输精管结扎术的使用情况。
Purpose: While hospital discharge and ambulatory surgery registries provide accurate estimates of female sterilization procedures, current estimates of male sterilization rates are lacking since these procedures are done in many settings. Population based data are used to estimate annual sterilization numbers.Materials and Methods: We analyzed data on 4,928 men and 7,643 women from the 2002 National Survey of Family Growth. We determined the year of vasectomy in men and the year of tubal ligation in women who reported a history of surgical sterilization. After accounting for the complex survey design of the National Survey of Family Growth we calculated the estimated number of individuals who underwent surgical sterilization in the United States.Results: A total of 141 men reported vasectomy, representing an overall 6% prevalence in National Survey of Family Growth survey population, while 1,173 women (16%) reported tubal ligation. Using National Survey of Family Growth data an estimated 175,000 to 354,000 vasectomies were done yearly from 1998 to 2002. In the same period the National Survey of Family Growth estimated that 546,000 to 789,000 tubal ligations were done annually in the United States. This compares closely to the 596,000 to 687,000 tubal ligations calculated using ambulatory surgery and hospital discharge data from a similar period.Conclusions: The estimated annual number of tubal ligations from the National Survey of Family Growth is in line with the current literature using hospital discharge and ambulatory surgery registries, suggesting the accuracy of the method of estimating surgical sterilization numbers. This suggests that the National Survey of Family Growth may be used to provide an estimate of vasectomy use in the United States.